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Organization
EAST 22ND STREET DENTAL, P.C.
Active
Organization
EAST 22ND STREET DENTAL, P.C.
Active
Other names
Dorsett Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE GARY MAYFIELD DMD (PRESIDENT)
(770) 916-5036
Entity
Organization
Contact information
Practice address
5504 E 22ND ST, SUITE 140, TUCSON, AZ 85711
(678) 904-5665
(678) 904-5666
Mailing address
210 INTERSTATE NORTH PKWY SE STE 300, ATLANTA, GA 30339-2233
(770) 916-5028
(678) 247-7858
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
NULL
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
08/14/2007
Last updated
04/24/2026
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